Loss Grief and dying
BELIEF assessment tool
B- belief system E- ethics of values L- lifestyle I- involvement in a spiritual community E- education F- future events
Nursing interventions
Communications- open Actions- take action to help pts Presents- being there for pts listing to the pts
FICA tool for spiritual assessment
Faith and belief - do you consider yourself religious or spiritual? Importance- what importance does your faith or belief have in your life? Community- are you part of a spiritual or religious community? Address in care - how would you like me to address these issues in your healthcare?
Perceived loss is felt by the person and can be recognized by others.
False that describes Actual loss
The patient self-determination act of 1990 required all hospitals to conform to standard uniform set of advance directives
False- it required all hospitals to inform patients about advance directives
Active euthanasia is defined as withdrawing medical treatment with the intentions of causing the patients death
False- this describes Passive euthanasia
Spirituality is often related to meaning________ belonging faith and to connectedness also is private and ________ for each person
Hope individual
____________ is defined as an organized way of sharing beliefs and practicing worship
Religion
Patients typically view nurses as a good source of ________ information
Spiritual
_______ is an intrinsic set of personal beliefs and practices that can be experienced within or without formal religion
Spirituality
During Engels stage of grief know as idealization there is often an exaggeration of the good qualities that the deceased person possessed
True
Terminal weaning is the gradual withdrawal of mechanical ventilation from a patient with a terminal illness or an irreversible condition with a poor prognosis
True
During ________ loss a person displays loss and grief behaviors for a loss that has yet to take place
anticipatory
according to Kubler- Ross in the ______ stage of dying the patient goes through a period of grief before death.
depression
Illness may challenge a person spiritual well being and create spiritual __________
distress
Atheism
do not believe in the existence of God
Agnosticism
do not have a firm belief of whether there is a God or not
Spiritual distress causes a person to feel_______, loss of faith and sense of being alone or abandoned
doubt
A __________ power of attorney appoints an agent whom the person trusts to make decisions in the event o subsequent incapacity
durable
Religion is an __________ organized faith system grounded in ____________ standards practices and core beliefs.
extrinsic institutional
Grief is an __________ reaction to loss
internal
Barriers to spiritual care are
lack of time too many administrative duties fear of imposing their own preferences on patients lack of knowledge of assessment skills fell inadequate prepared or uncomfortable
Extrinsic
not part of a persons natural nature
while hospice care focuses on the needs of the dying _____ care is appropriate across the spectrum of disease and illness
palliative
Spiritual care begins with encouraging human contact in compassionate relationships with _____________ ____________
professional sensitivity
Spirituality needs are often confused with
religious needs
Death is defined as the irreversible cessation of all functions of circulatory and _________ functions, or irreversible cessation of all functions of the entire brain including the brain stem.
respiratory
Nursing Diagnosis
spiritual distress and risk for spiritual distress Anxiety ineffective coping fear hopelessness powerlessness readiness for enhanced spiritual well being
Spiritual Distress
the impaired ability to experience and integrate meaning and purpose in life through connectedness with self others art music literature nature and or or a power greater than oneself